JAN-05-2017 11:29 From: 785-238-6830

ICANSAS GOVE~RNMENTAL ETH.l.CS COMM.lSSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

January 10,2017

FILE VlITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name ol'Candidate: __ ._---l2~ '(/) 8tt !rt-t"---,II---L( _

Address: 2 /i 1..8 k'r; ,Kol)j

Cit)' and 7.ip cOdc:Lp ~..., c;!. Ct2o,:!~_ 6 b?~~___ County: ~!?/c ;:..r Office Sought: ~lhLI!oI{I.. ectfej2llfJf'f.1I,q ti!.<rs District: .._....-",C",--rY _

B. Check only if appropriate: Amended Filing __ T~I'minatioJ1 Report

C. Summary (covering the period from Odoue\' 28, 2016 tlnoug-h Dcccmbel" 31,2016)

1. Cash onhanu at beginning ofperiod ,', ,.,., ' , , , , , ", 1., ? f'-~/~Y 2. Total Contributions and Other Receipts (Use Schedulc A) " " "."." /, I~ O,_",-~

3. Ca~h available lhis pGl'iod (Add Lines 1 and 2) "" " " " .. )( O!0, if _ ... -,1--=---­

4. Totall::xpenditurcs and Other Disbursements (Use Schedule C) "" " " .. ~5J.S,2Y 5. Cash on hand al dose ofpetiuc1 (SubtraC:l Line 4 from 3) " . " OJ../, /0

6. In-Kind Contributions (Usc Schedule 13) . -o­7. Othe1' Transactions (Use Schedule D) .,., __ , j 0.( OOO,pu.

D. "I declare that this report, including any ac<.:umpanying schedules and statements, has been examined by me and to the best of my kll0 w1L:clge and bdiefis true, corrcct and complete. I undcrstand that th0 intentional ffliJun: to file this document or intcntiol1flJJy filing a false docUUlunl is a class A misdemeanot'."

Dal: /S-)I ? Sit2~'~idateor -- ­ m -

G.li:C FOl'Il1 Rev, 2() [()

- -

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SCHEDULE A CONTHIBUTIONS AND OTHER REf:EIPTS

lj I1v ,-) &I-V Jlt!t4 ---~--"--:--.----(Name of Condidate)

Date

/o/JJI6

luiJ'J//.,

(0/:> Jj/ b

1,I:Jf6

U/?//6

/J..!.{ 1//£

/)./JI!&

OeclJpntion of Name and Ac..Idrcss IlldJvirJual Giving More

of COntl'ibutor Thull $150

" 7te~l/e / ;L,d&J /<7 /f~iJ<.(jf'lt J/ flC

}(5 !3'Zo",JIvAy -U.1v f I :t:,/~J Iz;-Co NOn ..,p,,) F.1/IJ J(J

(Ju i )cl eIU /1J~D<'"., c~· Jf~ fI/) (. ') fJ.. S IV JJ+J, fJvC! !2,.(/Ij(?~ ;/.1.> c<> IoPe-/(II, ;(J PR~ l/l.l e (24r.J A)Il-YV'JfD,,",; IVM ' J)h

IG "l.1I (1 Ro4c1 fI),9-t, Je ;r-/ld ,Ia ':'J

In !1vP1-f4 ft.t tfpJ fIW4 f/~.,

Shiff !(iJY fJ1 c Cj;"d·o<- k 2.06 N. f(o,il4;11 114 /;~a; / .0 I.t"" ; / {;n.i.'~ w!J -._- ..­;(e11'1e 1~Scof-l-I/llf'h (} / 0 I~ '''.fSk.cv/-,\ /06lf H, /lue ;)7.q .. '-1 Il-..t /1J4vI'JII'jil/lt' /l COl(", (;J G-MU( I1J 1(4r}J/H C4hl( {JI}(

-

(~ble,

#411,1-4.1CJoo 5, /(41'l.J 4 ..J Ave Y;:'.J r(J -/"''1'

-r--p,of? /(4 t1i - I ,I -

J,('/?oY:'l (C/>1j7/J7' Cl( o({>/?( :FhJ'-fd I~'y I PI'! //i"e SI/leef

Ci ..... ct'c,'.,tl-f;, 6/-1 .7

Cosh

Chcdl A[1propriflte Box

(;11t~r l( Lo"n rc [linels "Olho,'

K

._-­

1 _....­

~

X

t

K

X

Amount of Cash, f:hecl<,

Loan 01'

Other R~ccipt

- ...­

1&0, (/ () --_.­

<_£)eJ.... CJ c;.}

1St)" ~iJ -­

;{(), °0

-­

/0:P.... tJD

2 DE)" <:'0

300,,00

Subtollll This Pago 11 ~ J. ()O

Complete ftf Jast page of' Schedule A

Toto 1'Itemized Receipls fut' P~riod f------..

"fotal Unilcmized C()[)lriblltion~ ($50 or less)

Sale o['Poliricill Malcl'i,1Is (Unilcn1i7,ed)

Total Contribution!; When Contributor Not «nown

TOTAL IU~CEIPTS n-rIS rJm-TaD (tu line 2 of Summary)- .~._-

~j 1. D"Di)

. 0

... 0

0

I)J.. (J, fX)

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SCHEDULE B IN-KINJ> CONTR.IBUTIONS

(NClIIlC of CmHlidlltc)

Dat.~ N~mc Hill! Addres~

of COI\t.rlb\1tor

LI.~t Occllpntioll Cnl'" Those Giving an

Tn-l<ino at' More TIl::lll $150

Descl"iption of Ill-Kinel COl.ltriblltloll

Value of In-KInd

Contl'ibutioll

- 0 ~

-,._",_.­ -­ ------_._-_.-_.............. _­ .. ,

Subtotal Thi~ Pll~C

"I :i

I I

I,

,I

I 1

Complete if last page of Schedule B

Totalltemizcu (DYCr $100) In-Kind Contributions _.. - ­

['otnl UniltllliL.eu ($100 or less) In-Kind Contributions

TOTAL IN-KIND CONTRIBUTIONS THIS PERJOD (to linc' 6 of Summory) - <.D -

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SCHEDULE C EXPEN.D (TURES AND OTHER DlSHURSEMENTS

D11J fd 8~_~_r';;_& _ (Nilme or Calldidnte)

.---

Pu rposc of Exp~lJd j lure

DlItt~ N;llllC and Address or Dislml'semcnt Amount

I((!C 0.1 J New..!' {?t4 IH.f /} /9 VJ f 4 '?k fI/2 {"" !-/"'5 ; /'-/6"!O fr:J/Mlk l

~ lJt J, c;~Ih I} 1/ /1.1(3sJ:." h. [).?,. J/SII/?/I' q,1""fJ{)/'/.... IJ1 f'?fl 1"./ ;Ve. iWIIJ./JI!.:t- I/J"t:~f.)s "~.

/' 0 i.3.:> 'X "1-.F; ~ VJ"JA

o(·5vbscl/<'Pih.,..../I?(/~l~ ;;;:Kt~#'\JeJ:' ;J.J'/fh-li'~h'G J /,'j '1. P £>..o.'+J ')17.90/I!6/;~ C£)/l of.Jl'lf4 h'. XL ...

P~ 1+1. l'A7/ ~.(J /A/I ....) /!{)PI/T·I1.,./ (' t, IJ f / b;J 0.1..1[., tvl1J h/":,fDl.­ /J,5'Y7",n c 1-,;, .... (:l~ k...r P~I-~~te/~bl.{nJ~hF'-7 fJ/!IP/lb

R(7i;',Jo~ruC'!.. f/)ft-t//'l -j ..... nt?/'JI..J../ S4///''e. . "­

DAv"J ISliht'fl.­J. 7fJ...IJk-I!t.>IJ-J P<>J.f-.,q~e:. DkE'J Ifh-d ,g~~kf'1l.J /32(P.'J')/

J 11t;/IC (1 f) I.(~ t; I &-'2-0 v f? '0 {... ,' ­'::!J(lfh..erw t {JavtJt!-'LS 8/J,,",L(

,P, {), t3.:J X 0 ),.ODt 4 J1 J( J~f2. t/I c' e (!j/l~J~'11/;..9)/6 rt9UVl (.,) ~.. J ( I1J

V 1:.i ,() ;;ew.514!~.'l- 4JI/(.J41Is/~· P/o.l3 o x 7IJ/).. toP,I{) V f f}"YJ/}/&, ~ !hP4!JC/J/?,o! Jltfl1 /'V1 Ii­•I~) rift ..

{!o,<Y\ ei! G#(O~Ir? ,1ffJu,6J,z-9j-. ('f1-~f.rJ hrJ .... IV f JA}dJ?/? /e<l-­.l. -'.? tv. /Y}.g , '" '11~P()if) .J~l2.lir,.:JI J-If//~ (' /H-< Y\ / / / 6--->? <JVf i{[_

C" /1J(' {J() ~ 11 17 L (?4 J (71/.. - /1Jf?~ (1I1'l'/11J:J h Nt IV.J jJ/)I'~~ 306 e~,,-...d W/)}r

Y'O"t?()li-d J(J~ ?/s /hj,~ /!//b Cr;7fIQA(-')CQJ~/h i-IJ '-- ­

jl.,.e flQI}J't(~e 10: +­ ('>.J ¥ ~ I iJ t, I/)e 4Xj:J1//?/L.­,t), i).1J, ox.' 3.l.. 6 2.2,,. cPo!1../p/!I~ 4dtJ(h ,L/j/~7iJ h;-f. t? f.'; u 1-6

. (J'-FIi~lI.s .: Rt>oJ PM {5~ .... 1/ p.O,tJoXb :( 00(J/1 ~ I;Jf?(( LJ I C P t4,:; /(5 et~J'J.('~~ r f.!) IA '" (.. ,.J (;./1 0 U ~ 14

, y, 1/S.j ifSllhtot::l)'rilis Page

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SCHEDULE C EXl'KNDITURI~S AND OTHER DISBURSEMENTS

D/Ill ~eJ /31}(~/(. (Nal)le ofClIIldiclflte)

.­Pm'pose uf Expenditure

Name Hud Addl"CSS 01' DisbursementDah~

-

, .. ..

..

-

--_...•

Amount

.

._­-

-

Subtotal Tilis Pfl~e

Complete if last IJllgC of Schedule C

.,

TotClI. llemized Expenditun.:s This Period J..?9S,!)Y 0

1----.

Tola J Ullitemized Expenditures of $50 01' less

TOTAL EXPENDITURES & onmn. DlSlnmSEMTINTS TillS PERIO]) (to line 2 of. SUlIl III lII'y) Y~1fJf

Page 1.of.~_

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SCHEDULED OTHER TRANSACTIONS

DIt1/~P &/1 /(f/Z_ ..- _ ( Name of Candidate)

.Bl1lull(~e al D::lte Nume and Address Nature of Account or Lonn J'flyable Close of

/J I or Loan 'Rceeivllble Period

U /ll./itJ' fbrf-j 11 e'/Z- J If) ({11 cJ~'c!r9 Jel .,? <-,;;. )((? RDIY L ~ 411 /~JY4 bIe. /

if-"

<;/31//b COl-fhi;/ Crz()()(? J/J 1~&d6'J, &8

---­

1--.-_.'­

-

Snbtot::ll This Page /~..... ()CJ{), 00

Complete if last page of Schedule D

TOTAL OTHER TRANSACTIONS (to line 7 nf Sumri1!H'Y)